- Exposure to second hand smoke a. Insert the tube quickly. Abdominal girth is unrelated to blood loss. In this case, the supervisor is the resource person to approach. Maintain an erect trunk, Fowler/semi-Fowler If this activity does not load, try refreshing your browser. - interferes with blood supply to lower extremities due to intermittent claudication Pinch skin Monitor the patient Impaired gas exchange The nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus. The patient lies on her left side. Smoking sharpest - Wheezing D. Because percussion and palpation can affect bowel motility and thus bowel sounds, they should follow auscultation in abdominal assessment. Question 26Which of the following parameters should be checked when assessing respirations? 2. communicate with patient/ family Administer oxygen by Venturi mask at 24%, as needed However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. - bag must be full Location of ET tube in airway (nose or mouth) Delivery of more than 2 liters of oxygen per minute to a patient with chronic obstructive pulmonary disease (COPD), who is usually in a state of compensated respiratory acidosis (retaining carbon dioxide (CO2)), can inhibit the hypoxic stimulus for respiration. The infant falls off the scale, suffering a skull fracture. Bed rest and oxygen by Venturi mask at 24% would improve oxygenation of the tissues and cells but must be ordered by a physician. Auscultation, percussion, and palpation Base line vital signs include pulse rate, temperature, respiratory rate, and blood pressure. The other answers are incorrect interpretations of the statistical data. All patients receiving anticoagulant therapy must be observed for signs and symptoms of frank and occult bleeding (including hemorrhage, hypotension, tachycardia, tachypnea, restlessness, pallor, cold and clammy skin, thirst and confusion); blood pressure should be measured every 4 hours and the patient should be instructed to report promptly any bleeding that occurs with tooth brushing, bowel movements, urination or heavy prolonged menstruation. Malpractice - Chemical structure of medication determines where excretion occurs These include: 5. These include: A ham and Swiss cheese sandwich on whole wheat bread, A tossed salad with oil and vinegar and olives. Absence of the apical, radial, or femoral pulse is abnormal and should be investigated. Partial-Credit A patient is kept off food and fluids for 10 hours before surgery. Ati ene fundamentals physiologic concepts for nursing practice nutrition flashcards quizlet nclex rn practice . Sleep disturbances (such as bizarre dreams) Reporting any changes in patient's status after medication administration, Which task would be most appropriate for the nurse to delegate to the nursing assistive personnel (NAP)? Question 24Which of the following patients is at greatest risk for developing pressure ulcers?AAn apathetic 63-year old COPD patient receiving nasal oxygen via cannulaBA confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed. - Do not strip the tubing, need to milk it instead. Active Assist - patient moves joints with help from nurse, Walker - only come in one width. Question 43The most common deficiency seen in alcoholics is:APyridoxineBThiamineCPantothenic acid DRiboflavinQuestion 43 Explanation: Chronic alcoholism commonly results in thiamine deficiency and other symptoms of malnutrition. Thus, a respiratory rate of 30 would be abnormal. intact or open serum filled blister Decreased cardiac output A sign of increased bowel motility The nurse is responsible for: 4. Knowledge deficit Question 40A registered nurse reaches to answer the telephone on a busy pediatric unit, momentarily turning away from a 3 month-old infant she has been weighing. Stress - Lying on back, support with pillows, trochanter rolls, or splints Shaded items are complete. Childhood Question 8In Maslows hierarchy of physiologic needs, the human need of greatest priority is:ANutritionBEliminationCLoveDOxygen Question 8 Explanation: Maslow, who defined a need as a satisfaction whose absence causes illness, considered oxygen to be the most important physiologic need; without it, human life could not exist. Question 40The absence of which pulse may not be a significant finding when a patient is admitted to the hospital?APedalBApicalCRadialDFemoral Question 40 Explanation: Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. Urinary Tract Infection Respiration should be between 16-20 - CDC: Annual influenza vaccines for those 6 months and those over 50 years of age 64 ml in 2 hours - Splinting - hold a pillow or blanket against lower ribs to help ease pain Consequently, the nurse must observe for objective signs. Parasympathetic nervous system stimulation of the heart decreases the heart rate as well as the force of contraction, rate of impulse conduction and blood flow through the coronary vessels. Patients should begin ambulation as soon as possible after surgery to decrease complications and to regain strength and confidence. Exam Mode Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Ineffective airway clearance related to dry, hacking cough is incorrect because the cough is not the reason for the ineffective airway clearance. Placing one pillow under the bodys head and shoulders - other places: lungs, kidneys, blood, and intestines
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